facebook tracking Inborn and other disorders of metabolism cost in Minnesota: 1 hospitals compared (DRG 642)

Inborn and other disorders of metabolism in Minnesota

What 1 hospital in Minnesota charged and were paid for a Medicare hospital stay for inborn and other disorders of metabolism (DRG 642), from 2024 Medicare claims.

DRG 642 Inpatient 2024 Medicare data
Average charge $205,050 Hospital list price billed
Average payment $40,495 Medicare + patient + other payers
Medicare paid $32,336 Average per stay
Volume 12 Medicare hospital stays

Hospitals in Minnesota billed an average of $205,050 for inborn and other disorders of metabolism, about 5.1 times the average total payment of $40,495. That payment is 56% above the U.S. average of $25,993.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $40,495Billed $205,050

About 20¢ was paid for every $1 hospitals in Minnesota billed for this stay.

Minnesota hospitals: inborn and other disorders of metabolism

Every Minnesota hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
University of Minnesota Medical Center, FairviewMinneapolis 12 $205,050 $40,495 $32,336
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Inborn and other disorders of metabolism in other states

Questions

How much does inborn and other disorders of metabolism cost in Minnesota?

In 2024 Medicare data, a hospital stay for inborn and other disorders of metabolism (DRG 642) at 1 hospital in Minnesota was billed at $205,050 on average, while the average total payment was $40,495, of which Medicare paid $32,336. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Minnesota, average charges were 5.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.